Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.59 / $137.47 / $311.75	Facility	26	$43.59	$137.47	$311.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $103.16 / $126.34	Professional		$96.30	$103.16	$126.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $42.24 / $43.59	Professional	26	$32.40	$42.24	$43.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.95 / $139.11 / $229.53	Professional		$123.95	$139.11	$229.53
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $37.57 / $45.15 / $49.21	Professional	26	$37.57	$45.15	$49.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $136.69 / $446.93	Professional		$83.54	$136.69	$446.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.40 / $52.12 / $187.23	Professional	26	$34.40	$52.12	$187.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.06 / $129.76 / $250.77	Professional		$112.06	$129.76	$250.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.34 / $55.97 / $107.22	Professional	26	$48.34	$55.97	$107.22
United Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $154.19 / $317.76	Professional		$85.75	$154.19	$317.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.90 / $35.36 / $135.87	Professional	26	$27.90	$35.36	$135.87